SURGICAL

Surgical Procedures

Every year, millions of women undergo a variety of gynecology surgical procedures to diagnose potential health issues, and to treat conditions like cervical cancer or breast cancer. Many gynecology surgeries are non-invasive and don’t require a long post-op stay. We offer a wide range of surgical and diagnostic procedures for women, performed by experts in their field. Learn more about the gynecology procedures we offer at at Kennesaw Gynecology below.

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 In Office Surgeries


D & C

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions such as heavy bleeding, or to clear the uterine lining after a miscarriage or abortion.

In a dilation and curettage, the doctor will use small instruments or medication to open (dilate) your cervix- the lower part of your uterus. The doctor then uses a surgical instrument called a curette to remove uterine tissue.

Your provider might recommend a type of D&C called endometrial sampling to diagnose a condition if:

  • You have abnormal uterine bleeding
  • You experience bleeding after menopause
  • Your provider discovers abnormal endometrial cells during a routine test for cervical cancer.

To perform the test, your doctor will collect a tissue sample from the lining of your uterus (endometrium) and sends the sample to the lab for testing. The test can check for:

  • Endometrial hyperplasia- a precancerous condition in which the uterine lining becomes too thick.
  • Uterine polyps
  • Uterine cancer

Endometrial Ablation

Endometrial ablation is a procedure that surgically destroys (ablates) the lining of your uterus (endometrium). The goal of endometrial ablation is to reduce menstrual flow. In some women, menstrual flow may stop completely.  Your provider might recommend endometrial ablation if you have:

  • Unusually heavy periods, sometimes defined as soaking a pad or tampon every two hours or less.
  • Bleeding that lasts longer than eight days.
  • Anemia from excessive blood loss.

Endometrial ablations can be performed in our office. However, there are some cases that we would perform your endometrial ablation at the hospital.

Endometrial Biopsy

An endometrial biopsy is the removal of a small piece of tissue from the endometrium, which is the lining of the uterus. This tissue sample can show cell changes due to abnormal tissues or variations in hormone levels.

An endometrial biopsy may be performed to help diagnose abnormalities of the uterus. Your provider may want to perform an endometrial biopsy to:

  • Find the cause of postmenopausal bleeding or abnormal uterine bleeding
  • Screen for endometrial cancer

An endometrial biopsy can be performed in our office without the use of anesthesia. Typically, the procedure takes about 10 minutes to complete.

Hysteroscopic resection of polyps and fibroids

Hysteroscopic resection is a technique which is used as conservative treatment for women with menstrual symptoms. It is often performed instead of a hysterectomy (removal of the womb). Initially a narrow telescope (a hysteroscope) is introduced through the cervix to fully examine the cavity, then by passing electrical current through a small loop placed inside the hysteroscope the lining of the womb is removed (shaved-off).

Hysteroscopic resection also allows removal of fibroids that grow inside the uterus and that cause heavy menstrual bleeding, uterine septum (a thick band of tissue inside the womb) that may cause miscarriages, and intrauterine adhesions (which resemble cling film inside the womb) that cause infertility, absence or very light periods and pelvic pain.

What is a Uterine Polyp?

In the uterus, thickly-grown tissues may produce polyps on the uterine lining (also known as the endometrium).  Premenopausal women typically shed this unwanted tissue during menstruation but after the period cycle, hormones urge the endometrium to grow again. Tissue polyps can crop up during this regeneration.  Uterine polyps tend to grow in round or oval shapes upon the wall of the uterus.    Uterine polyps can develop in both premenopausal and post-menopausal women. The growths are usually within the uterus itself, however, doctors say, these polyps may occasionally develop on the cervical canal. Uterine polyps may be potentially (but not necessarily) cancerous.

Fibroids — thick muscle tissue makes up uterine fibroids; the growths typically develop within the uterine walls.  Fibroids differ from uterine polyps because they are not made from uterine lining (endometrial) tissues.
Why is it important to know the difference?  Because uterine polyps can lead to serious health issues, such as:

  • Cancer
  • Irregular menstrual periods and instability of “normal” cycles
  • Vaginal bleeding
  • Infertility

Signs of Uterine Polyps

  • Heavy (and longer than normal) periods
  • Pain near the hips, legs and during sexual intercourse
  • Bladder discomfort

Fibroids

Hormonally-produced uterine growth fibroids vary in size but they can also yield the same systems as polyps, as well as disrupt the fertility process.  Basic uterine fibroids are tissue growths, but they are NOT noted to be cancerous and are not considered to be a life-threatening concern.  They usually develop during a woman’s child-bearing years.  There are three areas of the body that are susceptible to fibroid development.  The most common type is Intramural, where the tissue growth is wedged into the wall of the uterus; it can move into other locations.  Submucosal fibroids are inside the uterine lining and grow inward. Subserosal uterine fibroids develop outside of the uterine lining.  Ultrasound procedures can determine if these growths are present. Fibroid symptoms include heavy bleeding, pelvic pain, constipation and enlarged uterus.

Young woman sitting on the bed with pain

Labiaplasty

Labiaplasty is a surgical procedure designed to sculpt the external vaginal structures by reducing and/or reshaping long or uneven labia. Childbirth, the aging process and the effects of gravity may all erode the beauty of the female genitalia including the labia minora, labia majora, clitoral hood and perineum.

If uneven or protruding labia cause labial pain and irritation (especially when riding a bike, motorcycle, horse, etc.), challenges during intercourse and/or a bulge that is visible through tight clothing – you may be a good candidate for labiaplasty.

Some women also experience more sexual satisfaction and sensation due the reduction in labial tissue, as well as enhanced self-confidence

Leep (Loop Electrosurgical Excision Procedure)

A loop electrosurgical excision procedure (LEEP) is a surgical procedure performed after a patient has persistent abnormal pap smears. More often than not abnormal pap smears due to HPV resolve on their own with time and healthy immune system functioning. However, in the situations where high-grade cervical lesions or persistent low-grade cervical lesions are detected, a LEEP is often indicated. This procedure can be performed in the outpatient setting and is typically done in our office under the appropriate form of anesthesia. This procedure utilizes a very thin wire to excise the affected tissue of the cervix. This procedure can be individualized based on a patient’s specific diagnosis. It is important to follow post-procedure instructions given by your provider, including abstinence from intercourse and nothing in the vagina for two to four weeks in order to allow the cervical tissue to heal. In general, many women return to routine daily activities quickly and have a short recovery period.

Hysterectomy

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Operative Hysteroscopy

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Laparoscopy

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Laparoscopic Tubal Ligation or Salpingectomy for Permanent Sterilization

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Myomectomy

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Operative Laparoscopy

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Hospital Surgical Procedures


Pre-Op and Post OP


Pre-Op Instructions

Post Op Instructions